Browsing by Subject "Total Glossectomy"

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    Latissmus Dorsi Flap for Head and Neck Reconstruction
    (2025-10-31) Pipkorn, Patrik; Jackson, Ryan; Haughey, Bruce
    The flap can be harvested as a pedicled or free flap and as a muscular or myocuta-neous flap with an overlying skin paddle. It can also be harvested along with any other flap based on the subscapular vascular system as a chimeric or subscapular “mega-flap”. Despite its size it can be harvested without significant donor site morbidity. The muscle is normally about 1cm thick. Because it atrophies significantly if it is not reinnervated, it is a popular option for scalp reconstruction and for other defects in the head and neck area including reconstruction of skull base and total glossectomy defects.
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    Rectus Abdominis Flap for Head & Neck Reconstruction
    (2025-10-31) Pipkorn, Patrik; Nussenbaum, Brian
    The rectus abdominis flap is based on the deep inferior epigastric artery. It is a composite flap and comprises muscle, over-lying fascia and skin. It is versatile and provides a large volume of soft tissue and is technically straightforward to raise. Many variations based on the inferior epigastric artery, including perforator flaps, have been described. In the head and neck it is typically used to reconstruct large oral defects, skull base defects, maxillectomy defects or whenever a large volume of soft tissue is required. In the head and neck it has more recently been largely supplanted by the anterolateral thigh free flap.